Assessment of the Midwifery Students’ Clinical Competency Before Internship Program in the Field Based on the Objective Structured Clinical Examination

Narges Malakooti, Parvin Bahadoran, Soheyla Ehsanpoor


Background: One of the important goals of clinical education is to promote the level of students’clinical skills. About 50% of the midwifery education is focused on clinical education, which has a great importance in shaping the professional skills of the students. The aim of this study was to determine the ability of students in some practical skills, before internship program in the field, using objective structured clinical examination (OSCE).

 Materials and Methods: This research was a descriptive cross‑sectional study with a single‑stage, multivariate prospective design. Twenty‑seven midwifery students from the Isfahan University of Medical Sciences who were in their sixth semester were selected by convenience sampling during the second semester of 2015–2016 educational year.OSCE was executed at skill laboratories in 8 stations during one day, and researcher‑made checklists were used; their content and face validity were approved and their reliability was confirmed by a Cronbach’s alpha coefficient of 0.97. Data analysis was performed by SPSS19.

Results: Results showed that the level of students’ skills at pelvic exam station was 39.97%, at bladder catheterization was 66.92%, at Leopold was 42.7%, at fetal ECG interpretation was 50.49%, at physical examination was 21.30%, at fetal resuscitation was 48.81%, at breast examination was 56.32%, and at answering the questions was 23.49%.

Conclusions: Results show that students gained a score of less than 50% in most skills. Therefore, they are not efficiently skilled for these essential clinical skills. Nonetheless,these procedures need the minimum skills that are required from students after graduation and before entering the working environment in hospitals and health centers. Therefore, more attention should be paid to these skills while planning internship programs before students enter the field. Also, more attention is required while teachers teach these skills and students are supposed to regard their weaknesses in these skills.


Clinical skills of Iran, internship, midwifery, objective structured clinical examination

Full Text:



Sheykh Aboomasoodi R, Moghimian M, Hshemi M, Kashani F,Karimi T, Atashi V, et al. Comparison the effects of Objective Structured Clinical Examination (OSCE) by direct and indirect supervision on nursing students’ examination anxiety. Nursing Education 2015;4;1‑8.

Farajzadeh Z, Saadatjoo A, Tabiyi SH, Hoseyni M. Validity and Reliability of OSCE examination in assessing clinical skills of medical emergencies students University of Medical Sciences of Birjand. Journal of Birjand University of Medical Sciences 2011;18:312‑9.

Fleming V, Luyben A. Establishing a Master’s for Europe a transnational model for higher education. Midwifery 2016;33:52‑4.

Yigzaw T, Ayalew F, Kim YM, Gelagay M, Dejene D, Gibson H,et al. How well does pre‑service education prepare midwives for practice: Competence assessment of midwifery students at the point of graduation in Ethiopia. BMC Med Educ 2015;15:130.

Chief Nursing Officers of England, Northern Ireland, Scotland and Wales. Midwifery 2020: Delivering expectations. The Midwifery 2020 Programme. 2010. ISBN 978‑0‑85791‑003‑5.

Carter AG, Creedy DK, Sidebotham M. Development and psychometric testing of the Carter Assessment of Critical Thinking in Midwifery. Midwifery 2016;34:141‑9.

Malekan Rad E, Eyn Palhi B, Hoseyni J. Clinical training and assessment and what a clinical professor should know. Hadiye publications in collaboration with humanity publications 2006;1:1.[In Persian].

Ehsanpoor S. Achieving minimum learning requirements from the perspective of midwifery students of School of Nursing and Midwifery of University of Isfahan. Iranian Journal of Medical Education 2006;6:18‑26.

Moosavi P, Montazeri S. Check the rate of achievement to the minimum learning in clinical units and maternity department and barriers to its implementation from the perspective of the midwifery students. Journal of Educational Development Jundishapur 2012;3:71‑80.

Devine RD. Evaluation of Undergraduate Students Using Objective Structured Clinical Evaluation. Research Briefs 2007;46:76.

Saboori A, Dastjerdi V, Mahdian M, Farazi Fard M. Examining outlook of postgraduate students of Dental Faculty of Medical Sciences of Shahid Beheshti university about objective structure clinical (Osce examination). Journal of Dental School Shahid Beheshti University of Medical Sciences 2010;28:88‑94.

Shayan Sh, Saboori M, Salehi A. Practices of assessment in clinical competencies about Medical Sciences. University of Medical Sciences 2007;1:25‑106.

Park WB, Kang SH, Myung SJ, Lee YS. Does Objective Structured Clinical Examinations Score Reflect the Clinical Reasoning Ability of Medical Students? Am J Med Sci 2015;350:64‑7.

Eldarir S, Nagwa A, Hamid A. Objective Structured Clinical Evaluation (OSCE) versus traditional clinical students achievement at maternity nursing: A comparative approach. IOSR Journal of Dental and Medical Sciences 2013;4:63‑8.

Moosavi P, Montazeri S, Poorghayoomi S, Farahnaz CH.Determining minimum learning in neonatal units, maternal andchild health, family planning, and it’s administrative obstacles from the perspective of midwifery students. Journal of Medical Education Development Center Jundishapur 2015;6:123‑30.

Moosavi P, Montazeri S, Poorghayoomi S, Farahnaz CH.Determining minimum learning in The clinic and gynecology unitsand it’s administrative obstacles from the perspective of midwifery students. Journal of Medical Education Development Center Jundishapur 2013;3:71‑80.

Dadvar L, Dadgari A, Mirzaee M, Rezaee M. Evaluation of educational goals achievement in fundamental nursing clinical skills: Application OSCE among senior nursing students in ICU.Journal of Knowledge & Health 2015;9:24‑31.

Villegas N, Cianelli R, Fernandez M, Henderson S, Sierra S,Alfonso Y, et al. Assessment of breastfeeding clinical skills among nursing students using the Objective Structured Clinical Examination (OSCE). Investigación en Educación Médical 2016;5:244‑52.

Mitchell ML, Jeffrey CA, Henderson A, Glover P, Nulty DD,Kelly MA, et al. Using an Objective Structured Clinical Examination for Bachelor of Midwifery students’ preparation for practice. Women Birth 2014;27:108‑13.

Malekzadeh J, Erfanian F, Khadivzadeh T. Evaluation of Neonatal Resuscitation Skills of Nursing and Midwifery Students Using Objective Structured Clinical Examination (OSCE).Journal of Midwifery and Reproductive Health 2015;3:418‑23.

Smith V, Muldoon K, Biesty L. The Objective Structured Clinical Examination (OSCE) as a strategy for assessing clinical competence in midwifery education in Ireland: A critical review.Nurse Educ Pract 2012;12:242‑7.

Omu FE. Attitudes of Nursing Faculty Members and Graduates towards the Objective Structured Clinical Examination (OSCE).Open Journal of Nursing 2016;6:353‑64.


  • There are currently no refbacks.